Sumi Jones, MD
NPI 1467403204 · Internal Medicine Physician · Menomonee Falls, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumi Jones, MD is a Internal Medicine Physician provider in Menomonee Falls, WI (NPI 1467403204).
Provider details
- NPI number
- 1467403204
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 46818 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
209 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 93 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $84 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 28 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 25 | $122 |
Typical Medicare-allowed amounts for these services range $15–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 131 | 50 |
| Atorvastatin Calcium | 118 | 48 |
| Losartan Potassium | 82 | 31 |
| Levothyroxine Sodium | 78 | 27 |
| Rosuvastatin Calcium | 63 | 27 |
| Omeprazole | 56 | 25 |
| Lisinopril |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Frequently asked questions
- What is Sumi Jones's NPI number?
- Sumi Jones's National Provider Identifier (NPI) is 1467403204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumi Jones's specialty?
- Sumi Jones is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sumi Jones located?
- Sumi Jones's practice location on file with NPPES is W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538.
- What is Sumi Jones's phone number?
- The practice phone number listed in the NPPES registry for Sumi Jones is (262) 253-5400.
- Does Sumi Jones accept Medicare?
- Sumi Jones is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumi Jones's NPI active?
- Yes — Sumi Jones's NPI (1467403204) is active in the NPPES registry as of the last update on 2024-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.